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Dr. Mira Cantrell, MD
Geriatric Medicine (Internal Medicine) Physician in Los Angeles, California
NPI 1932147055

Mira Cantrell is a Geriatric Medicine (Internal Medicine) Physician based in Los Angeles, CA and is specialized in Geriatric Medicine. Mira Cantrell practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Mira Cantrell is 1932147055 and holds a License No. A39040 (California).

The current practice location address for Mira Cantrell is 11500 Nimitz Ave, Los Angeles, CA and can be reached out via phone at 424-832-8268 and via fax at 424-832-8270.

Location: 11500 Nimitz Ave, Los Angeles, CA, 90049-3566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932147055
Provider Name
Mira Cantrell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11500 Nimitz Ave, Los Angeles, CA, 90049-3566
Phone Number
424-832-8268
Fax Number
424-832-8270
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A39040 01 CA LICENCE
institution
Provider Business Practice Location Address Details
Address
11500 Nimitz Ave
City
Los Angeles
State
California
Zip
90049-3566
Phone Number
424-832-8268
Fax Number
424-832-8270
person
Provider Business Mailing Address Details
Address
11500 Nimitz Ave
City
Los Angeles
State
California
Zip
90049-3566
Phone Number
424-832-8268
Fax Number
424-832-8270
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
A39040 (California)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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